Tag Archives: sanitation promotion

Viet Nam: hygiene promotion should build on community action

The path down to a stream where children defecate. Viet Nam, Lao Ca province. Photo: Danida

More affordable sanitation technologies and participatory community interventions will make future hygiene promotion more effective, say two PhD-fellows Xuan Le Thi Thanh and Thilde Rheinländer. They have spent 16 months in ethnic minority communities in the Northern Province Lao Cai to do research on hygiene and sanitation promotion in the Danida-funded research project SANIVAT (Water Supply Sanitation and Hygiene Promotion in Vietnam). SANIVAT supports research and capacity building on the impacts of water, sanitation and hygiene interventions and investigates how people perceive hygiene, health risks and hygiene promotion.

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Nepal: National Sanitation Week

Within three years, Nepal has to upgrade sanitation facilities by 15 per cent to achieve its three years interim plan 2010-11.

The interim plan has targeted providing sanitation facilities to 65 per cent of the country’s population by the end of three years. At present, around 49.2 per cent Nepali population have access to sanitation facilities.

Nepal marked the 11th National Sanitation Week (5-11 June 2010) with the theme ‘role of local bodies for sanitation promotion’.

Kamal Adhikari, sociologist at Department of Water Supply and Sewerage (DWSS) said local bodies were allocating budgets for the construction of toilets at present.

Nepal has to ensure 53 per cent toilet coverage by 2015 to achieve the sanitation Millennium Development Goal. The government has also targeted to provide sanitation access to all by 2017, which needs an annual investment of NRs 7.5 billion [US$ .

According to DWSS, the present trend of toilet construction is 180,000 toilets per year, which is 493 per day. The government is required to almost double the current rate of the latrine construction to achieve the goal. Ten toilets should be constructed every month in each of the VDCs for the purpose.

Informing that they have decentralised the awareness programme this year, Adhikari assured that the government could achieve its goal with the present trend of toilet construction.  “The government is adopting standalone sanitation programme, reducing open deficit and including sanitation under the water supply project to achieve the goal within time,” he said.

The 2006 National Demographic and Health Survey conducted by the Ministry of Health and Population, showed that inadequate access to water and sanitation was responsible for 10,500 child deaths every year in Nepal.

There were few reports of National Sanitation Week activities, at least in the English-language media in Nepal.

In Dang, the District Water Supply and Sanitation Division Office launched a ‘One House One Toilet’ campaign that aims to declare Dang an open defecation free district before2014.

The District Water Supply and Sanitation Division Office in Tanahun celebrated National Sanitation Week by launching programmes to declare Risti and Chipchipe VDCs free from open defecation, promoting and washing and by testing water quality in the VDCs, which have been declared open defecation free zones. Other activities included the distribution of 10 filters under the Western Nepal Rural Water Supply Project, displaying banners and posters featuring sanitation messages and organising a secondary level essay competition on sanitation.

Source: Himalayan Times, 05 Jun 2010 ; Rajdhani / NGO Forum, 04 Jun 2010 ; Annapurna Post / NGO Forum, 27 May 2010

India, Haryana: New Seat of Power for Women – the success of the “No Toilet, No Bride” program

But by linking toilets to courtship, the “No Toilet, No Bride” program in Haryana has been the most successful sanitation promotion effort so far.

An ideal groom in the dusty farming village of Nilokheri is a vegetarian, does not drink, has good prospects for a stable job and promises his bride-to-be an amenity in high demand: a toilet.

In rural India, many young women are refusing to marry unless the suitor furnishes their future home with a bathroom, freeing them from the inconvenience and embarrassment of using community toilets or squatting in fields.

No-Toilet-No-Bride

Cartoon by Neelabh in Times of India, 23 Mar 2009

About 665 million people in India — about half the population — lack access to latrines. But since a “No Toilet, No Bride” campaign started about two years ago, 1.4 million toilets have been built here in the northern state of Haryana, some with government funds, according to the state’s health department.

Women’s rights activists call the program a revolution as it spreads across India’s vast and largely impoverished rural areas.

“I won’t let my daughter near a boy who doesn’t have a latrine,” said Usha Pagdi, who made sure that daughter Vimlas Sasva, 18, finished high school and took courses in electronics at a technical school. “No loo? No ‘I do,’ ” Vimlas said, laughing as she repeated a radio jingle.

“My father never even allowed me an education,” Pagdi said, stroking her daughter’s hair in their half-built shelter near a lagoon strewn with trash. “Every time I washed the floors, I thought about how I knew nothing. Now, young women have power. The men can’t refuse us.”

Indian girls are traditionally seen as a financial liability because of the wedding dowries [...] but that is slowly changing as women marry later and grow more financially self-reliant. More rural girls are enrolled in school than ever before.

A societal preference for boys here has become an unlikely source of power for Indian women. The [illegeal but widespread] abortion of female fetuses in favor of sons means there are more eligible bachelors than potential brides, allowing women and their parents to be more selective when arranging a match.

“I will have to work hard to afford a toilet. We won’t get any bride if we don’t have one now,” said Harpal Sirshwa, 22, who is hoping to marry soon. [...] “I won’t be offended when the woman I like asks for a toilet.”
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Satellite television and the Internet are spreading images of rising prosperity and urban middle-class accouterments to rural areas, such as spacious apartments — with bathrooms.

[...] With economic freedom, women are increasingly expecting more, and toilets are at the top of their list, they say.

[...] “Women suffer the most since there are prying eyes everywhere,” said Ashok Gera, a doctor who works in a one-room clinic here. “It’s humiliating, harrowing and extremely unhealthy. I see so many young women who have prolonged urinary tract infections and kidney and liver problems because they don’t have a safe place to go.”

Previous attempts to bring toilets to poor Indian villages have mostly failed. A 2001 project sponsored by the World Bank never took off because many people used the latrines as storage facilities or took them apart to build lean-tos, said Ranjana Kumari, director of the Center for Social Research in New Delhi, who worked on the program.

Indra Bhatia, who is raising seven children in Panchgujran, India, said her toilet has changed her life. When I marry my daughters off, I will make sure that their home is fully equipped with a toilet and the works, she said. (By Emily Wax -- The Washington Post)

Indra Bhatia, who is raising seven children in Panchgujran, India, said her toilet has changed her life. "When I marry my daughters off, I will make sure that their home is fully equipped with a toilet and the works," she said. (By Emily Wax -- The Washington Post)

But by linking toilets to courtship, “No Toilet, No Bride” has been the most successful effort so far. Walls in many villages are painted with slogans in Hindi, such as “I won’t get my daughter married into a household which does not have a toilet.” Even popular soap operas have featured dramatic plots involving the campaign.

“The ‘No Toilet, No Bride’ program is a bloodless coup,” said Bindeshwar Pathak, founder of Sulabh International, a social organization, and winner of this year’s Stockholm Water Prize for developing inexpensive, eco-friendly toilets. “When I started, it was a cultural taboo to even talk about toilets. Now it’s changing. My mother used to wake up at 4 a.m. to find someplace to go quietly. My wife wakes up at 7 a.m., and can go safely in her home.”

Pathak runs a school and job-training center for women who once cleaned up human waste by hand. They are known as untouchables, the lowest caste in India’s social order. As more toilets come to India, the women are less likely to have to do such jobs, Pathak said.

“I want so much for them to have skills and dignity,” Pathak said. “I tell the government all the time: If India wants to be a superpower, first we need toilets. Maybe it will be our women who finally change that.”

[This article has attracted 128 reader comments so far, unfortunately many are off-topic rants about religion, abortion etc and toilet jokes]

Source: Emily Wax, Washington Post, 12 Oct 2009

Nepal, Surkhet: no toilet, no passport

A remote region of Nepal is hoping to improve local sanitation by asking everyone who applies for a citizenship card or passport whether they have a toilet at home, an official said Thursday.

Authorities in the rural midwestern district of Surkhet say only one in three households there has a toilet, below the national average of 45 percent, while the district headquarters has only one public toilet for 44,000 people.

They say there is a lack of awareness of the health risks related to open defecation, and are hoping the proposed scheme will help to eradicate the practice.

“We decided we have to motivate and put pressure on people to build toilets in their houses,” regional sanitation engineer for Surkhet, Prem Krishna Shrestha, told AFP.

“Of course, we cannot deny them their right to citizenship. The idea of the programme is to make sure that people understand the value of having a toilet in their houses.

“So when someone comes to get a passport or citizenship card, the officials will ask if they have a toilet in their house.”

The proposal comes as Nepal is struggling to deal with a diarrhoea outbreak that has reportedly killed around 150 people in a remote western region.

Disease outbreaks are common during the monsoon, when floods mean water sources can easily become contaminated.

The government has promised to eradicate open defecation by 2017, but Shrestha said it was well behind schedule on the building of new toilets.

“Nepal should be building 320,000 toilets a year and records show only around 100,000 to 125,000 toilets are being built. We have a lot of catching up to do,” he said.

Source: AFP / Straits Times, 23 Jul 2009

Nepal: Sanitation Brand Ambassador, actress Jharana Thapa, on campaign

In September 2008, famous Nepali actress Jharana Thapa was nominated Sanitation Brand Ambassador by the End Water Poverty Campaign. In November 2008 she participated in the South Asian Conference on Sanitation (SACOSAN) III held in New Delhi, India, where she stressed to establish sanitation as a basic right.After her participation in the conference, Jharana Thapa is not only involved in making speeches on sanitation. Whenever she visits villages for shooting or [a] personal visit nowadays, she asks, “Is there a toilet or not? Is it clean or not? “Do you wash your hands with soap and water after going to the toilet?” [...] “Due to toilet problem, many girl students do not drink water during school hours,” said Jharana, adding, “The girl students feel uncomfortable during periods and toilet problem might cause mental problem.” Jharana advises the girl students not to feel ashamed and talk to the school management to arrange separate toilets for them.

Jharana herself has experiences of problems a woman has to face for not having a toilet. Jharana said, “I also had to search for a toilet in many places while in outdoor shooting locations. So, I am arranging for a mobile toilet in my home production to be used in shooting. She added, “I am also initiating to include social messages of sanitation in my films.”

Source: Nepal Samacharpatra / NGO Forum, 18 Feb 2009

India, Bihar: Gram Gaurav Yatra launched to Promote Sanitation

WaterAid India

Campaign launch by CM. Photo: WaterAid India

In order to sensitise people towards health and hygiene, Public Health Engineering Department (PHED), Government of Bihar, WaterAid and UNICEF have taken up a month long Gram Gaurav Yatra to promote sanitation in Bihar. PHED Minister Ashwani Kumar Choubey announced the launch of Bihar Gram Gaurav Rath Yatra on January 28, 2009, that embarked on a Movement towards restoring human dignity and the self-esteem of rural Indians.

The yatra was flagged off by State Chief Minister Nitish Kumar on January 28, 2009, from Rajgir in Nalanda district. During the rath yatra, which would continue till February 28 departmental secretaries and officers would travel to different places in the state to sensitise people. WaterAid India as a lead organization in this initative has developed IEC materials for raising awareness which where launched during the inauguration of the campaign. His Excellency, Governor of Bihar shall inaugurate the second phase of Yatra on 1st February and Hon’ble Union Minister for Rural Development Shri Raghuvansh Prasad Singh will join the yatra on the 11th at Vaishali.

handwashing-song-launch-by-wateraid

Handwashing song launch-by WaterAid. Photo: WaterAid India

At the event a new scheme “Jal Mani” was launched that will provide drinking water to schools. Filters are being provided that are capable of removing not only bacteriological contamination but also chemical contamination like fluoride and arsenic.

Bihar has to install around 1.12 crore [11.2 million] household toilets to achieve the targets set for universal coverage by 2012. So far only 20 lakh [2 million] toilets have been installed.

At the launch of the event Mr Choubey (Minister PHED) said one crore 13 lakh [11.3 million] toilets would be constructed till 2012 all over the State for the making of Nirmal (clean) Bihar.

Mr. Anand Shekhar the Regional Manager of WaterAid India said that the yatra is a giant leap towards mobilizing communities for collective action so that a seemingly distant dream of making Bihar open defecation free is achieved.

On 29 January “shram daan” (Voluntary work) was planned, during which the Minister and the team would be accompanied by a team of masons and animators, with materials to construct toilets. The idea is to motivate large number of people to adopt toilets.

Source: Binu Nair, Programme Officer, Research & Media Relation, WaterAid India, 31 Jan 2009, BinuNair [at] wateraid.org

Cambodia: comedian takes rural sanitation to the Kingdom’s TVs

PHOTO SUPPLIED

Comedian Chab Chean. Photo: PHOTO SUPPLIED

TV personality Chab Chean has been chosen as the government’s spokesperson in a push to promote sanitation throughout the countryside.

The government is hoping a little toilet humour will go a long ways in bringing its pro-sanitation message to the countryside, where millions live without access to running water and the nearest rice field often passes for the bathroom.

Only about 16 percent of rural Cambodians have access to toilets, according to the World Bank-sponsored Water and Sanitation Program. In some parts of the country, that figure can drop below five percent.

[...] “Many people in the countryside come around when they see Chab Chean educating them about the program, which is different from being told by local authorities,” [Chea Samnang, director of the Department of Rural Health at the Ministry of Rural Development] said. “As a local TV comedian and presenter, Chab Chean has been considered an excellent model in encouraging Cambodian people to cooperate with local authorities so that they know how to live in a clean environment and how to use toilets”.

“We have many methods of encouraging people in the countryside to help spread knowledge about rural sanitation. We show them through our jokes so that they are interested and happy, and they will never get bored,” Chab Chean said.

Source: Khoun Leakhana, Phnom Penh Post, 23 Dec 2008

Pakistan: stopping open defecation through behavioural change

“I remember the time when I’d get up to the chirping of the birds, walk across to a nearby field, relieve myself in the fresh, open air -undisturbed – go to the nearby canal, take a bath and then come home to a hearty breakfast… before going off to work in the fields,” said an old farmer.

“This is the mind-set against which we are working,” said Wasim Aslam, an activist striving to make 564 villages in Pakistan open defecation free (ODF).

Aslam is from Lodhran, one of the implementers of the Community-Led Total Sanitation (CLTS) campaign initiated by the World Bank’s Water and Sanitation Programme (WSP), and one 1,500 activists who have been trained to get the CLTS movement off the ground.

[...] The 1,500 trained activists are mostly men, but their success is in large measure due to the women behind them. Irfanullah, a local counsellor in Peshawar, said that had it not been for his wife, he would not have made any headway.

[...] “We want people to need a toilet. We don’t just give it to them as they may not necessarily use it. We work on their psychology,” said Aslam, adding that CLTS was first introduced in Pakistan in 2004.

[...] According to Javed Ali Khan, director-general of the Ministry of Environment, ODF initiatives have benefited about 1.12 million people. The practice of open defecation in rural areas came down from about 74 percent of the rural population in 1990, to 45 percent by 2006.

According to the Ministry of Environment, 73 percent of the population now has access to a latrine – 96 percent in urban areas, and 62 percent in rural areas.

CLTS is now included in the national sanitation policy, said [World Bank sanitation specialist] Alrai.

Source: IRIN, 12 Dec 2008

India, Assam: Government officials take to plays to raise awareness of the need for sanitation

[...] Robin Chandra Das, an assistant executive engineer with the Public Health Engineering Department (PHED), Assam, has put together [an] innovative play, titled Natak Nohoi (This is not a play) in which he plays a social worker promoting rural sanitation. The play has no written script and keeps changing from the place in which it is staged.

[...] The play is part of the Total Sanitation Campaign (TSC) which is a comprehensive programme to ensure sanitation facilities in rural areas with the broader goal to eradicate the practice of open defecation. TSC, as a part of reform principles, was initiated in 1999 when Central Rural Sanitation Programme was restructured making it demand-driven and people-centered.

[...] The play also incorporates local dialects and even a few Assamese songs with the sanitation theme keeping the audience hooked.

[...] In Assam, the PHED is responsible for ensuring safe hygiene through Total Sanitation Campaign (TSC) as well as providing safe drinking water to all the schools located in rural areas. The play was conceptualised by the PHED officials as part of the Sanitation Week being organised in the state this year. The year 2008 has been declared the International Year of Sanitation which aims to address these challenges by raising awareness of the benefits of good hygiene and by helping to break the taboos about speaking out for changes in behaviour.

Read more: Teresa Rehman, Tehelka, 28 Nov 2008

India, West Bengal: NCC cadets start sanitation awareness drive

National Cadet Corps (NCC) cadets in West Bengal have started a sanitation campaign to educate people in the remote villages of poverty-stricken Purulia district about the use of safe toilets.

[...]

“The cadets have taken up a 6-month programme to make people aware about the use of latrines. Apart from organising workshops and training, cadets will also visit the villages and urge people to install sanitary latrines in the households,” Col Abu Sufian, Associated NCC Officer of 51 Bengal Battalion in Purulia, said.

NCC, in partnership with UNICEF and district administration, has planned [...] to build awareness on sanitation and hygiene in Purulia, where only 10 per cent of the households have sanitary latrines [because of alleged lack of administrative push and inability of the poor villagers to pay the beneficiary's contribution of Rs 320] whereas West Bengal has a record of 76 per cent toilets.

Source: PTI / The Hindu, 19 Oct 2008

More than 2,000 National Cadet Corps youth from five colleges and 14 schools celebrated Global Hand Washing Day with rallies and demonstrations to show the five steps for hand washing in Raghunathpur, Jhalda and Balarampur blocks of Purulia district in West Bengal.

The cadets of Mahatma Gandhi College at Lalpur in Purulia marched the roads of Chakalta village in the district carrying banners, canvassing on microphones and distributing leaflets describing the benefits of hand washing. They demonstrated to members of the community how thoroughly rubbing the whole surface of hands, joints of fingers and the corner of nails with soap is necessary to remove germs after toilet and before eating or cooking.

Source: UNICEF, 15 Oct 2008